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For years, the medical and scientific communities attempted to reduce anabolic steroid use by athletes by underscoring their efficacy and focusing on the unhealthy side effects (Biely, 1987 Darden, 1983 Fahey and Brown, 1973 Fowler et al. For the most part, this may have proved to be ineffective and caused athletes to lose trust in the physician’s knowledge of anabolic steroids thereby forcing them to seek advice from friends, internet sites or drug suppliers (Pope et al. However, recent literature has suggested that the medical issues associated with anabolic steroids may be somewhat overstated (Berning et al. It is important to note that there are differences in the side effects associated with anabolic steroid use (i. The clinical examination of anabolic steroid use is quite limited. Much of the problem in prospectively examining the effects of anabolic steroids on the athletic population is related to the unwillingness of institutional review boards to approve such studies in a non-clinical population.

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